Gruzalski, Kathleen

Gruzalski, Kathleen is an individual health care provider with primary practice located at 3743 Highland Ave Ste 1003, Downers Grove IL 60515-1594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gruzalski, Kathleen can be contacted via phone (630) 964-6049.

Contact Information

Primary practice address
3743 Highland Ave Ste 1003 Downers Grove IL 60515-1594
Phone: (630) 964-6049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036063014 Illinois

Profile Details

NPI number 1396710356
LBN Legal business name Gruzalski, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 24th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396710356 NPPES
Illinois MEDICAID 036063014

Popular Providers